{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T05:09:36Z","timestamp":1774242576483,"version":"3.50.1"},"reference-count":15,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T00:00:00Z","timestamp":1594598400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: We present the case of a patient with a spontaneous cervical epidural hematoma that presented with neck pain and mild, left arm parasthesia. \n\nCase Report: A 59-year old man presented with sudden onset of severe neck pain, without history of injury or trauma. The patient also complained of associated left arm parasthesias that progressed to left arm and leg weakness while in the emergency department. Multiple diagnoses were considered and worked up; eventually the correct diagnosis was made with magnetic resonance imaging of the cervical spine. \n\nConclusion: Spontaneous cervical epidural hematoma typically presents with neck pain, and variable neurologic complaints. This case illustrates the challenge in making this uncommon but serious diagnosis.<\/jats:p>","DOI":"10.5811\/cpcem.2020.5.47107","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T15:32:19Z","timestamp":1597246339000},"page":"428-431","source":"Crossref","is-referenced-by-count":3,"title":["A Case Report: The Challenging Diagnosis of Spontaneous Cervical Epidural Hematoma"],"prefix":"10.5811","volume":"4","author":[{"given":"Francis","family":"Counselman","sequence":"first","affiliation":[{"name":"Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia; Emergency Physicians of Tidewater, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Tondt","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harry","family":"Lustig","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia; Emergency Physicians of Tidewater, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,7,13]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Baek BS, Hur JW, Kwon KY, et al. Spontaneous spinal epidural hematoma. J Korean Neurosurg Soc. 2008;44(1):40-2.","DOI":"10.3340\/jkns.2008.44.1.40"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Gomes PA, Cernadas E, S\u00e1 J, et al. Spontaneous spinal haemorrhage as a complication of oral anticoagulant therapy: a case report and literature review. Eur J Case Rep Intern Med. 2018;5(12):000887.","DOI":"10.12890\/2018_000887"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Brichko L, Giddey B, Tee J, et al. Cervical spine traumatic epidural haematomas: incidence and characteristics. Emerg Med Australasia. 2018;30(3):359-65.","DOI":"10.1111\/1742-6723.12920"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Taha MM, Elsharkawy AM, Al Menshawy HA, et al. Spontaneous cervical epidural hematoma: a case report and review of literature. Surg Neurol Int. 2019;10(247):1-3.","DOI":"10.25259\/sni_543_2019"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Tawk C, El Hajj Moussa M, Zgheib R, et al. Spontaneous epidural hematoma of the spine associated with oral anticoagulants: 3 case studies. Int J Surg Case Rep. 2015;13:8-11.","DOI":"10.1016\/j.ijscr.2015.05.022"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Emamhadi M, Ghadarjani S, Alijani B, et al. Spontaneous cervical epidural hematoma with stroke manifestations. Asian J Neurosurg. 2019;14(1):286-8.","DOI":"10.4103\/ajns.ajns_333_17"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Kirazli Y, Akkoc Y, Kanyilmaz S. Spinal epidural hematoma associated with oral anticoagulation therapy. Am J Physical Med Rehabil. 2004;83(3):220-3.","DOI":"10.1097\/01.phm.0000107498.91919.44"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Salehpour F, Mirzael F, Kazemzadeh M, et al. Spontaneous epidural hematoma of cervical spine. Int J Spine Surg. 2018;12(1):26-9.","DOI":"10.14444\/5005"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Tiryaki M, Basaran R, Aydin SO, et al. Spontaneous cervical epidural hematoma with hemiparesis mimicking cerebral stroke. Case Rep Emerg Med. 2014;2014:210146.","DOI":"10.1155\/2014\/210146"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Hongo T, Iseda K, Tsuchiya M, et al. Two cases of spontaneous cervical epidural hematoma without back or neck pain in elderly Japanese men. Acute Med Surg. 2017;5(2):181-4.","DOI":"10.1002\/ams2.317"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Pavli\u0107evi\u0107 G, Lepi\u0107 M, Lepi\u0107 T, et al. A spontaneous cervical epidural hematoma mimicking a stroke: a challenging case. J Emerg Med. 2019;57(1):70-3.","DOI":"10.1016\/j.jemermed.2019.03.035"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Li C, He R, Li X, et al. Spontaneous spinal epidural hematoma mimicking transient ischemic attack. Medicine (Baltimore). 2017;96(49):e9007.","DOI":"10.1097\/md.0000000000009007"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Morimoto T, Yoshihara T, Yakushiji Y, et al. Worsening cervical epidural hematoma after tissue plasminogen activator administration for stroke-like symptoms. Spine. 2016;41(7):E437-40.","DOI":"10.1097\/brs.0000000000001243"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Matsumura A, Namikawa T, Hashimoto R, et al. Clinical management for spontaneous spinal epidural hematoma: diagnosis and treatment. The Spine Journal. 2008;8(3):534-7.","DOI":"10.1016\/j.spinee.2007.01.009"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Liao CC, Lee ST, Hsu WC, et al. Experience in the surgical management of spontaneous spinal epidural hematoma. J Neurosurg Spine. 2004;100(1):38-45.","DOI":"10.3171\/spi.2004.100.1.0038"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T15:14:52Z","timestamp":1600269292000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/7r3204xc"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,13]]},"references-count":15,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,8,6]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.5.47107","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,7,13]]}}}